Does Botox effects on tear trough?

First off, I am not a fan of Botox as a "preventative treatment" for wrinkles, as I have not seen any scientific data supporting this notion. Botox treatment around your eyes for crows feet, could theoretically, make tear troughs more prominent. Botox is not recommended to treat tear troughs. Try stopping your preventive treatment and see what happens, and seek a second opinion from a board certified plastic surgeon or dermatologist 

Botox is great for the Crow's Feet area. The muscle targeted with crow's feet injection is the lateral orbicularis oculi muscle which does indirectly contribute to tear troughs in the inner eye aspect. Relaxation of this muscle may reveal more shadowing in this area contributing to a perceived deeper tear trough. This may be a stretch, and tear troughs in general are worsened with the aging cheek, though 28 is not too early for familial peri-orbital  aging. For tear troughs try a volumetric filler, active skin care and a light chemical peel. These are all methods of treatment which are in-office which can effectively treat this area. If you are getting Botox, work on the other areas too.

Botox is not likely to improve the appearance of the tear trough area. In fact, it's possible that Botox injection to this area could worsen the appearance of the tear trough and may lead to other complications. Filler injections, such as Restylane, would be a better options. Your best bet is to consult with a board-certified specialist (Facial plastic surgeon, plastic surgeon, or dermatologist) who is highly experienced with facial filler injections.Good luck!Dr. Harmych 

Properly injected Botox will not affect the tear trough area in any way. If you've noticed worsening tear troughs this is likely due to aging and volume loss. This can be pronounced at an even a young age in people who are thin. I can only assume that you do not have much body fat. The best remedies for deep tear troughs at the present time are dermal fillers such as Belotero or fat transfer. Best.

Botox works by temporarily paralyzing your facial muscles so your dynamic wrinkles won't form in your skin. Loss of volume in your tear troughs is likely just a result of agin. Filler is the best solution to fill in volume loss if it's not a major loss of volume.